-
rx for aspirin sens asthma
leukotriene inhibitors
-
aspirin sensitivity, you can use what for pain
salsalate
-
nsaid induced bronchospasm
-
post viral hypersensitivity, does it resolve
yes in 3 months
-
woman with cough, normal PFTS and methachloine challenge test, dx
non asthmatic eosinophilic bronchitis
-
how to diagnose exercise induced asthma
exercise in the cold, FEV1 drops by 15%
-
rx for exercise induced asthma
SABA before exercies
-
how to treat flushing with niacin
add asa 30 min before
-
how does cromolyn work
stabilizes mast cells
-
saba is not effective for exercies with asthma, wtd
add cromolyn
-
rx for abpa
- start steroids
- thiabendazole
-
rx for asymptomatic fungal ball in a cavity
monitor
-
rx for fungal ball with hemoptysis,
surgery,not artery embolization
-
what meds can casue hypersensitivity pneumonitis
- MTX
- sirolimus
- rituximab
- nitrofurantoin
-
CD8>CD4 on BAL, dx
hypersensitivity pneumonitis
-
does hypersensitivity pneumonitis have eosinphils on BAL
no
-
how is psittacosis diagnosed
complement fixation and serology
-
churg strauss pneumonitis
asthma, IgE, neuropathy
-
rx for churg strauss
steroids
-
rx for strongyloides
thiobendazole
-
very peripheral infiltrates, +eos on BAL, ESR is high, dx
chronic eosinophilic pneumonia
-
smoker who quit smoking, has SOB, +eosinophils, CXR with ground glass appearance
acute eosinophilic pna
-
rx for alveolar proteinosis
whole lung lavage
-
what decreases risk of cOPD exacerbations
moxi q2mo for 5 days
-
does pulmm rehab decrease mrotality in copd
we dont know
-
for what FEV1 you do surgery
<20%
-
does lung transplant increase mortliaty
yes
-
lung reduction surgery for whom
b/l upper lobe emphysema
-
can bariatric sx cause rhabdo
yes
-
lung resection with what FEV1
Lung transplant with what FEV1
-
how to screen for dyskinetic cilia syndrome
inhaled nitric oxide test
-
leading cause of death in cystic fibrosis
cepacia burkdorferia, you give bactrim
-
is surgical resection need for massive hemoptysis in CF
no
-
bronchiolitis obliterans occurs after what
- RA
- Carcinoid tumor
- Lung transplant
-
-
when can cryptogenic organized pneumonia occur
after RA or other inflammatory conditions
-
when do you give steroids for sarcoidosis
with involement of any body organ, or high Ca
-
-
woman with painful nodules on the shin, cxr shows hilar adenopathy, wtd
follow up in 3 months
-
idiopathic pulmonary fibrosis rx
- supportive therapy
- pulmonary rehab, possibly steroids, pirfenidone, nintedanib.
-
what does BAL show in idiopathic pulmonary fibrosis
neutrophils
-
what is asbestos exposure
pleural and diaphragm calcified plaques
-
sand blasting, stone/granite cutting can give you what
silicosis
-
what pneumonconiosis gives you higher incidence of MTB
silicosis
-
egg shell calcifications with hilar lymph nodes
silicosis
-
do pleural plaques in asbestos exposure cause lung impairment
false, they do not
-
biopsy of lung tissue shows giant cells with fibrosis
histiocytosis x
Langerhan cell
-
premenopausal woman on OCP with pneumothorax, cholous effusion
lymphangiomyomatosis
-
how to treat PHTN in pt with COPD
oxygen therapy
-
if on right heart cath, you get response to vasodilators, you treat with what
IF NO RESPONSE
nifedipine or diltiazem
SILDENAFIL< TADALAFIL< BOSENTAN for mild disease
-
what has been shows to decrease mortality in PAH
MACITENTAN
-
PAH that is moderate, wtd
if severe disease
- give IV epoprostenol
- severe--> inhaled iloprost
-
which class of pulmonary HTN do you anticoagulate
class I and Class IV
-
what do you do with greenfield filter after 1 year
remove it
-
how long do you wear below knee compression stockings for dvt after anticoagulation
2 years
-
rhinitis medicamentosa, what is it
- chronic use of vasoconstrictors and you get rebound congestion
- Rx is stopping vasoconstrictors and starting intranasal steroids
-
rx for klebsiella
ceftriaxonea nd aminoglycoside
-
hypoglycemia as SE from what abx
levo
-
tympanic membrane with hemorrhage, patchy infiltrates, dx
mycoplasma
-
common bacteria affecting copd
heamophilus
-
pleuritic chest pain, 2 day hx of fever, no infiltrate, dx
coxsackie which can also cause myocarditis
-
rx for coccidiomycosis
fluconazole, if disseminated-amphotericin
-
prophylaxis for influenza in a nursing home during an outbreak
oseltamivir for 2 weeks and vaccine
-
what abx can cause hypersensitivity pneumonitis
nitrofurantoin
-
cant tolerate INH for TB ppx, wtd
rifampin x 4 months
-
best rx ppx for PPD+
inh and rifapentine for 3 months
-
MDR TB, what should his roommate get
Pyrazinamide and Ethambutol for 6 months
-
HIV+, cavitary or afb + after 2 months of treatment, wtd
rx for 9 months
-
what drug improves outcomes in TB resistant to inh
FQ
-
pt with OSA fails bipap, wtd
hypoglossal nerve stimulator
-
-
best rx for central sleep apnea
adaptive support ventilation
-
BAL with +neutrophils
IPF
-
-
BAL +inclusion bodies
CMV
-
BAL + foamy with lamellar inclusions
amiodarone
-
BAL CD4>CD8
hypersensitivity pneumonitis
-
intermittent dysphagia tosolids in a young man, dx
eosinophilic esophagitis
-
rx for diffuse esphagael spasm
PPI, if no response CCB
-
rx for esoniophilic esophagitis
- SFED, if no response
- PPI
- if no response
- Budesonide
-
pt with GERD, now has progressive dysphagia to solids, dx
peptic stricture
-
what do you need to ruleout prior to fundoplication surgery
make sure there is good motility of esophagus
-
type B gastritis occurs wehre and it is associated with what
antrum, associated with H.pylori
-
-
MEN1
MENII2
- pituitary
- parathyroid
- pancreatic
- MENIIA
- Parathyroid
- Pheo
- Medullary thyroid
- Medullary thyroid
- marfanoid
- pheo
-
ampulla of vater cancer is commonly seen with what syndrome
FAP
-
how long does it take to develop pseudocysts
4 weeks
-
how much grams of fat in stool for chronic pancreatitis
40
-
analgesia for pain for chronic pancreatitis
pregabalin
-
what pancreatic cyst characteristics are worrisome
- sice >3cm
- biliary duct >1cm
- solid component
- thickening of cysts
-
-
CD with perianal abscess,can start anti-tnf
yea
-
3 diarrhea that present with nocturnal
- IBD
- Bacterial overgrowth syndrome
- Microscopic colitis
-
pt with UC, why do you do annual ultrasound
rule out PSC
-
-
-
rx for atypical HUS
Eculizumab
-
ciguatera toxin
in fish, p/w paresthesia
-
flask shaped ulcer
amobeic colitis
-
HIV, diarrhea, AFB+
cryptosporidium, rx if nitazoxamide
-
which diarrhea can give youa rash
yersinia
-
wtd if patient fails po vanco
vanco pulse therapy or fidaxomicin
-
what abx causes B1/NAP1 strain from c.diff
cephalosporin and FQ
-
rx for tropical sprue
tetracycline +folic acid
-
bacterial overgrowth has low or high folate
high folate
-
pas+, foamy macrophages, weightloss , asrthritis, diarrhea, LAD
- whipple dz
- rx is bactrim or tetracycline
-
rx for SIBO
flagyl and cipro
-
intestinal lymphagiectasisa will have steatorrhea
-
rx for uncomplicated diverticular disease
mesalamine or rifaximin
-
what med causes diverticulitis with perforation
tocilizumab
-
rx for acute mesenteric ischemia
heparin then tpa
-
rx for ogilvie
neostigmine
-
rx for IPF that slows rate of fvc decline
-
are circulating immune complexes present in IPF
yes
-
what dz has egg shell calcifications of lymph nodes
silicosis, increased incidence of TB
-
-
can you do tpa for large ileofemoral dvt
yes
-
what bacteria is lancet shaped diplococci
s.pneumo
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